Abstract
OBJECTIVES. The objective of this study was to partition the change in US life expectancy into those major causes of death and age groups that contributed most to the decline in life expectancy for Black males and females and to the increase in life expectancy for White males and females in the period from 1984 through 1989. METHODS. By means of a life table partitioning technique, the positive and negative contributions of age and cause of death to changes in life expectancy were estimated. RESULTS. Causes contributing most to the decrease in life expectancy for Black males included human immunodeficiency virus (HIV) infection (< 5 and 20-69 years of age) and homicide (1-4 and 10-34 years of age); for Black females the causes included HIV infection (< 5 and 20-59 years of age) and cancer (65-79 and > or = 85 years of age). CONCLUSIONS. Mortality trends between the two major race groups in the United States diverged sharply, and without precedent, during the late 1980s. A description of these trends in terms of contributions to change in life expectancy may help us better analyze and interpret changes in the health of these groups and may contribute to a better allocation of resources for research, education, and public health programs.
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Selected References
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- Arriaga E. E. Measuring and explaining the change in life expectancies. Demography. 1984 Feb;21(1):83–96. [PubMed] [Google Scholar]
- Kleinman J. C. The slowdown in the infant mortality decline. Paediatr Perinat Epidemiol. 1990 Oct;4(4):373–381. doi: 10.1111/j.1365-3016.1990.tb00660.x. [DOI] [PubMed] [Google Scholar]
- Otten M. W., Jr, Teutsch S. M., Williamson D. F., Marks J. S. The effect of known risk factors on the excess mortality of black adults in the United States. JAMA. 1990 Feb 9;263(6):845–850. [PubMed] [Google Scholar]
- Pappas G., Queen S., Hadden W., Fisher G. The increasing disparity in mortality between socioeconomic groups in the United States, 1960 and 1986. N Engl J Med. 1993 Jul 8;329(2):103–109. doi: 10.1056/NEJM199307083290207. [DOI] [PubMed] [Google Scholar]
- Pollard J. H. On the decomposition of changes in expectation of life and differentials in life expectancy. Demography. 1988 May;25(2):265–276. [PubMed] [Google Scholar]